HomeMy WebLinkAboutPermit Electrical 1994-8-16
. .
~hO, fOI!O~I~9 project as submitted has the following .
~cnmg, and does not requiro specific land use .
22S FIm STllEllT fPproval. ELI!CTRICAL PERHI'l APPUCATION
SPRINGFIELD, OREGON 97477 Zonlng--.lhDft.- q i1flO I q
INSPECTION REQUEST: 7t6--37~v City Job Number 'U7
OFFICE: 726-3759 010 ~ '
. ,uthorlzed Signeture flM- 3. COMPLBTE FEE SCHEDULE BELOit
1.' LOCATION E! :qfSTALLAT,lOM
c;- / ~ a:2::JJ' ~ (.0 A. New Residential-Single or
Hulti~Fa~lly per dwelling unit.
LEGAL DESCRIPTION Service Included:
JOB DES~N/
A ~t'A/ 1-4/A'.'''''
, .. I
Permits are non-transferable and expire
if york is not started'within 180 days
'of issuance or if work is suspended for
'180 days. '
2. CONTRActOR INSTAU~TION ONLY B.
Electrical contra~tor..1 (t..J Elbl,<.. k
Address? ') r 5 W 1., ~ ~ L. ~ ft. l!!! 1:)
/J I -'
City('aHJ.... II.:, Phone ?,<-I- {.I..:l/
, I '
, Supervisor Licen.se Number -:U",OL../ - S
Expiration Date 10 J I - q '.:;-
Constr Contr. Number 'I (.., ') '3 6, '2....
Exp1'ration Date & - I., q -, ct 0
Si~;17;;;~y
,i: ~ers Niiflel '
I
Address
I,
, , 'lhone,
01tNER INSTALLATION
.: I
:rhe, instalb,tioh is.. b~irlg made on
property ~ own,vhich is not intended
for sale, 'lease or rent. '
, , ' ,I
,~~rs Si~ture: ., I, " " "
'1'
I
, ,I"
I
I
,
City
DATE: ~ ~ /(/1
RECEIPT 11: ' L '1 "'i~t,j
RECEIVED BY: \ti' / 1
.,'.' .
L\
Items
1000 sq.ft. or less /
Each additional 500
sq. ft or portion
thereof, , I ,
Each Hanuf'd Uoce or
Hodular Dwelling
Service or Feeder
Services or Feeders
Installation,' Al tera tions
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps-----
Over 1000 amps/volts
Reconnect Only
Cost SUIll
",'
::....---
$ 85.00 8')'
V
$ 15.00 It)
$ 40.00
$ 50.00
$ 60.00
Sloo.00
$130.00
$300.00
$ 40.00
c. Temporary Services or'Feeders
Installation, Alteration or Relocation
'200 amps or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to '600 amps " $ 80.00
Over 600 amps, or 1000 volts"see nB" above
D., Branch Circuits '
Nev, A1t~ratlon o~'Extenslon Per Panel
oilee:i~cun:
,Each Additional'
, Circui,('Qr ~i'th Service
,'or 'Feeder." ,~e,:llI1t ',' ,
S 35.00
'$ 2.00
E. Hiscellaneous (Service/feeder not included)'
-Each installation
Pump (lr ir,r~g!lt1oil,
Sign/O~tl}~e,Lighting'
~~mite~,E~ergyjRes
Linii hid EnerfP',/ColIII)I
. :. . .
5,.
SimTOTAL uP' ABOVE
5% 'State ,Surcharge
"TO'r,M. ',: '
..,' . :". '.
$ 40.00
$ 40.00
S20.00
$,36.60
... ...::--
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1994-05-27 17:~/Cl2r~ =
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